113 SURFACE MARKING OF LUNGS PLEURA BY DR

1/13 SURFACE MARKING OF LUNGS & PLEURA BY: DR. NISHTHA YADAV NEGI ASSISTANT PROFESSOR DEPT. OF SHARIR RACHNA H. A. M. C. H. , DEHRADUN, UK.

INTRODUCTION � � q v v 2/13 The lungs are a pair of respiratory organs situated in the thoracic cavity. Each lung invaginates the corresponding pleural cavity. Features: - Each lung is conical in shape. Apex- Upper end Base- Resting on diaphragm Borders- Three- 1. Anterior 2. Posterior 3. Inferior Surface- Two- 1. Costal 2. Medial- (a). Vertebral part (b). Mediastinal part

3/13 v v Cervical pleura- Related to clavicle Anterior margin (costomediastinal line of the pleural Reflection) – Related to (1) Sterno clavicular joint (2) Sternal angle (3) Xiphsternal joint.

CONT. . 4/13 Inferior margin (costodiaphragmatic line of pleural Reflection - Related to v (1) 8 th rib (2) 10 th rib (3) 12 th rib (4) 12 th thoracic vertebra and spine. v Posterior margin- Related to (1) 12 th thoracic spine (2) 7 th cervical spine.

SURFACE MARKING OF PLEURA 5/13

6/13 v Apex of the lung – Related to clavicle v Anterior border of right lung- related to (1) Sternoclavicular joint (2) Sternal angle (3) Xiphsternal joint.

CONT. v 7/13 Anterior border of the left lung – Related to (1) Up to tha level of 4 th costal cartilage v The lower border of left lung – Related to (1) Cardiac notch (2) 6 th costal cartilage. v The lower border of each lung – Related to (1) 6 th rib (2) 8 th rib (3) 10 th rib (4) 10 th thoracic spine.

CONT. . v Posterior border of each lung- Related to (1) 10 th thoracic spine v Oblique fissure- Related to (1) 3 rd thoracic spine (2) 5 th rib (3) 6 th costal cartilage v Horizontal fissure - Related to (1) 4 th costal cartilage (2) 5 th rib 8/13

ANTERIOR VIEW 9/13

POSTERIOR VIEW 10/13

11/13 SURFACE MARKING OF LUNG’S FISSURE AND PLEURA

12/13 SURFACE MARKING OF LUNG’S FISSURE AND PLEURA

13/13 TOPIC- SURFACE MARKING OF LUNGS & PLEURA